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CC BY-NC 4.0 · Arch Plast Surg 2012; 39(01): 3-10
DOI: 10.5999/aps.2012.39.1.3
Review Article

Breast Reconstruction with Microvascular MS-TRAM and DIEP Flaps

David W. Chang
Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
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The free muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) and deep inferior epigastric perforator (DIEP) flaps involve transferring skin and subcutaneous tissue from the lower abdominal area and have many features that make them well suited for breast reconstruction. The robust blood supply of the free flap reduces the risk of fat necrosis and also enables aggressive shaping of the flap for breast reconstruction to optimize the aesthetic outcome. In addition, the free MS-TRAM flap and DIEP flap require minimal donor-site sacrifice in most cases. With proper patient selection and safe surgical technique, the free MS-TRAM flap and DIEP flap can transfer the lower abdominal skin and subcutaneous tissue to provide an aesthetically pleasing breast reconstruction with minimal donor-site morbidity.

Keywords

Free tissue flaps - Mammaplasty - Mastectomy


Publication History

Received: 30 October 2009

Accepted: 19 November 2011

Article published online:
01 May 2022

© 2012. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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